PP assessment may assist clinicians and researchers to better understand PP functioning in this population potentially contributing to effective strengths based psychosocial interventions. Recommendations for clinical practice and future research are provided.
Career resilience provided a frame for understanding how Licensed Nursing Facility Administrators (LNFAs) sustain role performance and even thrive in stressful skilled nursing facility work environments. Quantitative and qualitative analyses of in-depth interviews with18 LNFAs, averaging 24 years of experience were conducted by a five-member research team. Analysis was informed by evidence-based frameworks for career resilience in the health professions as well as the National Association of Long-Term Care Administrator Boards' (NAB) five domains of competent administrative practice. Findings included six sources of work stressors and six sources of professional satisfaction. Also, participants identified seven strategic principles and 10 administrative practices for addressing major sources of stress. Recommendations are provided for research and evidence-based application of the career resilience perspective to LNFA practice aimed at reducing role abandonment and energizing the delivery of the quality of care that each resident deserves.
The objective of this article is to provide clinicians, from multiple disciplines, important clinical information to consider when providing health education and emotional support to persons with chronic lower respiratory disease (CLRD) and their informal caregivers via telehealth. The information contained in this article is based on a literature review, a needs and preferences survey of this population (n ϭ 49 persons with CLRD; n ϭ 49 informal caregivers) that was part of a larger study (Enhancing Rural Interventions for Caregiver Health [En-Rich]), and our clinical experience. The En-Rich needs and preferences survey was conducted to help shape telehealth services for this population particularly those residing in rural/geographically isolated areas as well as those who are not physically well enough to attend clinic-based appointments. As a result of the novel coronavirus (COVID-19) pandemic, the use of telehealth services for clinical care has dramatically risen for a variety of reasons. We surmise that persons with CLRD and their informal caregivers are particularly open to telehealth services at this time, given the risk of exposure to the virus upon leaving their homes.As such, we provide information about the physical and psychosocial aspects of living with CLRD from the perspective of patients and informal caregivers along with 7 practical recommendations for providing telehealth services to this population. Our aim is to better equip telehealth clinicians who are working with this special population through our interdisciplinary lens (gerontology, nursing, health psychology, and social work).
Clinical Impact StatementA formal literature review, needs and preferences survey, and our interdisciplinary clinical expertise shaped our recommendations for the provision of telehealth education and emotional support for persons with chronic lower respiratory disease (CLRD) and their informal caregivers. The recommendations were written in the context of COVID-19 pandemic which has increased the need for telehealth services for this clinical population as well as empirically supported education for the clinicians who serve them.
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